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1.
Biosensors (Basel) ; 12(12)2022 Nov 29.
Article in English | MEDLINE | ID: covidwho-2258634

ABSTRACT

Wearable sensors and machine learning algorithms are widely used for predicting an individual's thermal sensation. However, most of the studies are limited to controlled laboratory experiments with inconvenient wearable sensors without considering the dynamic behavior of ambient conditions. In this study, we focused on predicting individual dynamic thermal sensation based on physiological and psychological data. We designed a smart face mask that can measure skin temperature (SKT) and exhaled breath temperature (EBT) and is powered by a rechargeable battery. Real-time human experiments were performed in a subway cabin with twenty male students under natural conditions. The data were collected using a smartphone application, and we created features using the wavelet decomposition technique. The bagged tree algorithm was selected to train the individual model, which showed an overall accuracy and f-1 score of 98.14% and 96.33%, respectively. An individual's thermal sensation was significantly correlated with SKT, EBT, and associated features.


Subject(s)
Masks , Railroads , Humans , Skin Temperature , Temperature , Thermosensing/physiology
2.
Microbiome ; 11(1): 64, 2023 03 30.
Article in English | MEDLINE | ID: covidwho-2255969

ABSTRACT

BACKGROUND: The COVID-19 pandemic has highlighted the extent to which the public transportation environment, such as in subways, may be important for the transmission of potential pathogenic microbes among humans, with the possibility of rapidly impacting large numbers of people. For these reasons, sanitation procedures, including massive use of chemical disinfection, were mandatorily introduced during the emergency and remain in place. However, most chemical disinfectants have temporary action and a high environmental impact, potentially enhancing antimicrobial resistance (AMR) of the treated microbes. By contrast, a biological and eco-sustainable probiotic-based sanitation (PBS) procedure was recently shown to stably shape the microbiome of treated environments, providing effective and long-term control of pathogens and AMR spread in addition to activity against SARS-CoV-2, the causative agent of COVID-19. Our study aims to assess the applicability and impact of PBS compared with chemical disinfectants based on their effects on the surface microbiome of a subway environment. RESULTS: The train microbiome was characterized by both culture-based and culture-independent molecular methods, including 16S rRNA NGS and real-time qPCR microarray, for profiling the train bacteriome and its resistome and to identify and quantify specific human pathogens. SARS-CoV-2 presence was also assessed in parallel using digital droplet PCR. The results showed a clear and significant decrease in bacterial and fungal pathogens (p < 0.001) as well as of SARS-CoV-2 presence (p < 0.01), in the PBS-treated train compared with the chemically disinfected control train. In addition, NGS profiling evidenced diverse clusters in the population of air vs. surface while demonstrating the specific action of PBS against pathogens rather than the entire train bacteriome. CONCLUSIONS: The data presented here provide the first direct assessment of the impact of different sanitation procedures on the subway microbiome, allowing a better understanding of its composition and dynamics and showing that a biological sanitation approach may be highly effective in counteracting pathogens and AMR spread in our increasingly urbanized and interconnected environment. Video Abstract.


Subject(s)
COVID-19 , Disinfectants , Microbiota , Probiotics , Railroads , Humans , SARS-CoV-2/genetics , Sanitation/methods , RNA, Ribosomal, 16S/genetics , Pandemics/prevention & control , Case-Control Studies , Disinfectants/pharmacology
3.
Sci Total Environ ; 869: 161781, 2023 Apr 15.
Article in English | MEDLINE | ID: covidwho-2211418

ABSTRACT

Due to the rapidly increasing ridership and the relatively enclosed underground space, the indoor air quality (IAQ) in underground subway stations (USSs) has attracted more public attention. The air pollutants in USSs, such as particulate matter (PM), CO2 and volatile organic compounds (VOCs), are hazardous to the health of passengers and staves. Firstly, this paper presents a systematic review on the characteristics and sources of air pollutants in USSs. According to the review work, the concentrations of PM, CO2, VOCs, bacteria and fungi in USSs are 1.1-13.2 times higher than the permissible concentration limits specified by WHO, ASHRAE and US EPA. The PM and VOCs are mainly derived from the internal and outdoor sources. CO2 concentrations are highly correlated with the passenger density and the ventilation rate while the exposure levels of bacteria and fungi depend on the thermal conditions and the settled dust. Then, the online monitoring, fault detection and prediction methods of IAQ are summarized and the advantages and disadvantages of these methods are also discussed. In addition, the available control strategies for improving IAQ in USSs are reviewed, and these strategies are classified and compared from different viewpoints. Lastly, challenges of the IAQ management in the context of the COVID-19 epidemic and several suggestions for underground stations' IAQ management in the future are put forward. This paper is expected to provide a comprehensive guidance for further research and design of the effective prevention measures on air pollutants in USSs so as to achieve more sustainable and healthy underground environment.


Subject(s)
Air Pollutants , Air Pollution, Indoor , COVID-19 , Railroads , Volatile Organic Compounds , Air Pollution, Indoor/analysis , Carbon Dioxide , Environmental Monitoring/methods , Particulate Matter/analysis , Air Pollutants/analysis , Volatile Organic Compounds/analysis , Bacteria , Fungi
4.
Int J Environ Res Public Health ; 19(21)2022 Nov 05.
Article in English | MEDLINE | ID: covidwho-2099549

ABSTRACT

The supply of fresh air for underground rail transit systems is not as simple as opening windows, which is a conventional ventilation (CV) measure adopted in aboveground vehicles. This study aims to improve contaminant dilution and air purification in subway car ventilation systems and the safety of rail transit post-coronavirus disease pandemic era. We designed an air conditioning (AC) terminal system combined with stratum ventilation (SV) to enable energy consumption reduction for subway cars. We experimentally tested the effectiveness of a turbulence model to investigate ventilation in subway cars. Further, we compared the velocity fields of CV and SV in subway cars to understand the differences in their airflow organizations and contaminant removal efficiencies, along with the energy savings of four ventilation scenarios, based on the calculations carried out using computational fluid dynamics. At a ventilation flow rate of 7200 m3/h, the CO2 concentration and temperature in the breathing areas of seated passengers were better in the SV than in the CV at a rate of 8500 m3/h. Additionally, the energy-saving rate of SV with AC cooling was 14.05%. The study provides new ideas for reducing the energy consumption of rail transit and broadens indoor application scenarios of SV technology.


Subject(s)
Air Pollutants , Air Pollution, Indoor , Railroads , Automobiles , Air Pollution, Indoor/prevention & control , Air Pollution, Indoor/analysis , Air Pollutants/analysis , Environmental Monitoring , Ventilation
5.
Int J Environ Res Public Health ; 19(17)2022 Sep 03.
Article in English | MEDLINE | ID: covidwho-2010050

ABSTRACT

This study examined the impact of work-family conflict on subway employees' safety performance during the initial wave of the COVID-19 pandemic. We proposed a chain mediation model in which job burnout and affective commitment play mediating roles in this process. Using questionnaire data from 632 Chinese subway employees during February 2020, structural equation modeling analyses were performed. The analyses showed that work-family conflict had a significant negative impact on subway employee safety performance. Moreover, job burnout completely mediated the influence of work-family conflict on safety performance, while affective commitment only partially mediated the influence of job burnout on safety performance. These findings suggest the important role played by Work-Family balance during the pandemic and contribute to a deeper understanding of the inner mechanisms. We also discussed several practical implications for organizations to reduce the negative impact of work-family conflict on safety performance.


Subject(s)
Burnout, Professional , COVID-19 , Railroads , Burnout, Professional/epidemiology , Burnout, Professional/psychology , COVID-19/epidemiology , Family Conflict , Humans , Job Satisfaction , Pandemics
6.
Environ Sci Pollut Res Int ; 29(49): 74715-74724, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-1872659

ABSTRACT

The COVID-19 global pandemic has had a significant impact on mass travel. We examined the risk of transmission of COVID-19 infection between subway commuters using the Susceptible Exposed Infected Recovered (SEIR) model. The model considered factors that may influence virus transmission, namely subway disinfection, ventilation capacity, average commuter spacing, single subway journey time, COVID-19 transmission capacity, and dynamic changes in passenger numbers. Based on these parameters, above a certain threshold (25 min), the risk of infection for susceptible people increased significantly as journey time increased. Average distance between commuters and levels of ventilation and disinfection were also important influencing factors. Meanwhile, the model also indicated that the risk of infection varied at different times of the day. Therefore, this paper recommends strengthening ventilation and disinfection in the carriages and limiting the time of single journeys, with an average distance of at least 1 m between passengers. In this light, subway commuters need to take proactive precautions to reduce their risk of COVID-19 infection. Also, the results show the importance of managing subway stations efficiently during epidemic and post-epidemic eras.


Subject(s)
Air Pollutants , COVID-19 , Railroads , Air Pollutants/analysis , Environmental Monitoring/methods , Humans , Risk Assessment
7.
J Hazard Mater ; 436: 129233, 2022 08 15.
Article in English | MEDLINE | ID: covidwho-1867366

ABSTRACT

During COVID-19 pandemic, analysis on virus exposure and intervention efficiency in public transports based on real passenger's close contact behaviors is critical to curb infectious disease transmission. A monitoring device was developed to gather a total of 145,821 close contact data in subways based on semi-supervision learning. A virus transmission model considering both short- and long-range inhalation and deposition was established to calculate the virus exposure. During rush-hour, short-range inhalation exposure is 3.2 times higher than deposition exposure and 7.5 times higher than long-range inhalation exposure of all passengers in the subway. The close contact rate was 56.1 % and the average interpersonal distance was 0.8 m. Face-to-back was the main pattern during close contact. Comparing with random distribution, if all passengers stand facing in the same direction, personal virus exposure through inhalation (deposition) can be reduced by 74.1 % (98.5 %). If the talk rate was decreased from 20 % to 5 %, the inhalation (deposition) exposure can be reduced by 69.3 % (73.8 %). In addition, we found that virus exposure could be reduced by 82.0 % if all passengers wear surgical masks. This study provides scientific support for COVID-19 prevention and control in subways based on real human close contact behaviors.


Subject(s)
COVID-19 , Railroads , COVID-19/epidemiology , COVID-19/prevention & control , Humans , Masks , Pandemics/prevention & control
8.
Sci Rep ; 12(1): 6372, 2022 04 16.
Article in English | MEDLINE | ID: covidwho-1795680

ABSTRACT

We study how public transportation data can inform the modeling of the spread of infectious diseases based on SIR dynamics. We present a model where public transportation data is used as an indicator of broader mobility patterns within a city, including the use of private transportation, walking etc. The mobility parameter derived from this data is used to model the infection rate. As a test case, we study the impact of the usage of the New York City subway on the spread of COVID-19 within the city during 2020. We show that utilizing subway transport data as an indicator of the general mobility trends within the city, and therefore as an indicator of the effective infection rate, improves the quality of forecasting COVID-19 spread in New York City. Our model predicts the two peaks in the spread of COVID-19 cases in NYC in 2020, unlike a standard SIR model that misses the second peak entirely.


Subject(s)
COVID-19 , Epidemics , Railroads , COVID-19/epidemiology , Cities/epidemiology , Humans , Transportation
9.
Sci Rep ; 12(1): 4025, 2022 03 07.
Article in English | MEDLINE | ID: covidwho-1730321

ABSTRACT

Computational fluid dynamics (CFD) modelling and 3D simulations of the air flow and dispersion of droplets or drops in semi-confined ventilated spaces have found topical applications with the unfortunate development of the Covid-19 pandemic. As an illustration of this scenario, we have considered the specific situation of a railroad coach containing a seated passenger infected with the SARS-CoV-2 virus (and not wearing a face mask) who, by breathing and coughing, releases droplets and drops that contain the virus and that present aerodynamic diameters between 1 and 1000 µm. The air flow is generated by the ventilation in the rail coach. While essentially 3D, the flow is directed from the bottom to the top of the carriage and comprises large to small eddies visualised by means of streamlines. The space and time distribution of the droplets and drops is computed using both an Eulerian model and a Lagrangian model. The results of the two modelling approaches are fully consistent and clearly illustrate the different behaviours of the drops, which fall down close to the infected passenger, and the droplets, which are carried along with the air flow and invade a large portion of the rail coach. This outcome is physically sound and demonstrates the relevance of CFD for simulating the transport and dispersion of droplets and drops with any diameter in enclosed ventilated spaces. As coughing produces drops and breathing produces droplets, both modes of transmission of the SARS-CoV-2 virus in human secretions have been accounted for in our 3D numerical study. Beyond the specific, practical application of the rail coach, this study offers a much broader scope by demonstrating the feasibility and usefulness of 3D numerical simulations based on CFD. As a matter of fact, the same computational approach that has been implemented in our study can be applied to a huge variety of ventilated indoor environments such as restaurants, performance halls, classrooms and open-plan offices in order to evaluate if their occupation could be critical with respect to the transmission of the SARS-CoV-2 virus or to other airborne respiratory infectious agents, thereby enabling relevant recommendations to be made.


Subject(s)
COVID-19/transmission , Railroads , SARS-CoV-2/metabolism , COVID-19/virology , Computer Simulation , Disease Transmission, Infectious/statistics & numerical data , Humans , Imaging, Three-Dimensional
10.
Indoor Air ; 32(2): e12976, 2022 02.
Article in English | MEDLINE | ID: covidwho-1669148

ABSTRACT

We propose the Transmission of Virus in Carriages (TVC) model, a computational model which simulates the potential exposure to SARS-CoV-2 for passengers traveling in a subway rail system train. This model considers exposure through three different routes: fomites via contact with contaminated surfaces; close-range exposure, which accounts for aerosol and droplet transmission within 2 m of the infectious source; and airborne exposure via small aerosols which does not rely on being within 2 m distance from the infectious source. Simulations are based on typical subway parameters and the aim of the study is to consider the relative effect of environmental and behavioral factors including prevalence of the virus in the population, number of people traveling, ventilation rate, and mask wearing as well as the effect of model assumptions such as emission rates. Results simulate generally low exposures in most of the scenarios considered, especially under low virus prevalence. Social distancing through reduced loading and high mask-wearing adherence is predicted to have a noticeable effect on reducing exposure through all routes. The highest predicted doses happen through close-range exposure, while the fomite route cannot be neglected; exposure through both routes relies on infrequent events involving relatively few individuals. Simulated exposure through the airborne route is more homogeneous across passengers, but is generally lower due to the typically short duration of the trips, mask wearing, and the high ventilation rate within the carriage. The infection risk resulting from exposure is challenging to estimate as it will be influenced by factors such as virus variant and vaccination rates.


Subject(s)
Air Pollution, Indoor , COVID-19 , Railroads , Aerosols , Air Microbiology , COVID-19/transmission , Fomites/virology , Humans , SARS-CoV-2
11.
J Urban Health ; 99(1): 77-81, 2022 02.
Article in English | MEDLINE | ID: covidwho-1593833

ABSTRACT

In the Republic of Korea, social distancing policies relied on voluntary participation by citizens and exhibited short-term changes. In this situation, the effects of such policies varied depending on each community's capacity to comply. Here, we collected subway ridership data for 294 stations on nine Seoul Metro lines and aggregated the data for each station to the 184 smallest administrative areas. We found that the mean percent change in subway ridership was fitted by an additive model of the log-transformed percent ratio of the restaurant industry (estimated degrees of freedom (EDF) = 3.24, P < 0.001), the Deprivation Index (DI) (EDF = 3.66, P = 0.015), and the proportion of essential workers (ß = - 0.10 (95% confidence interval - 0.15 to - 0.05, P < 0.001). We found a distinct decrease in subway ridership only in the least deprived areas, suggesting that social distancing is costly.


Subject(s)
COVID-19 , Railroads , Humans , Pandemics , Physical Distancing , Policy , Republic of Korea/epidemiology , SARS-CoV-2 , Seoul
12.
Front Public Health ; 9: 611565, 2021.
Article in English | MEDLINE | ID: covidwho-1389253

ABSTRACT

Introduction: The large number of passengers, limited space and shared surfaces can transform public transportation into a hub of epidemic spread. This study was conducted to investigate whether proximity to railway stations, a proxy for utilization, was associated with higher rates of SARS-CoV-2 infection across small-areas of the Lisbon Metropolitan Area (Portugal). Methods: The number of SARS-CoV-2 confirmed infections from March 2 until July 5, 2020 at the parish-level was obtained from the National Epidemiological Surveillance System. A Geographic Information System was used to estimate proximity to railway stations of the six railway lines operating in the area. A quasi-Poisson generalized linear regression model was fitted to estimate the relative risks (RR) and corresponding 95% confidence intervals (95%CI). Results: Between May 2 and July 5, 2020, there were a total of 17,168 SARS-CoV-2 infections in the Lisbon Metropolitan Area, with wide disparities between parishes. Overall, parishes near any of the railway stations of the Sintra line presented significantly higher SARS-CoV-2 infection rates (RR = 1.42, 95%CI 1.16, 1.75) compared to parishes located farther away from railway stations, while the opposite was observed for parishes near other railway stations (Sado and Fertagus lines), where infection rates were significantly lower than those observed in parishes located farther away from railway stations (RR = 0.66, 95%CI 0.50, 0.87). The associations varied according to the stage of the epidemic and to the mitigation measures enforced. Regression results also revealed an increasing influence of socioeconomic deprivation on SARS-CoV-2 infections. Conclusions: No consistent association between proximity to railway stations and SARS-CoV-2 infection rates in the most affected metropolitan area of Portugal was observed, suggesting that other factors (e.g., socioeconomic deprivation) may play a more prominent role in the epidemic dynamics.


Subject(s)
COVID-19/epidemiology , Railroads , COVID-19/transmission , Humans , Portugal/epidemiology
14.
Environ Int ; 157: 106774, 2021 12.
Article in English | MEDLINE | ID: covidwho-1322094

ABSTRACT

To identify potential countermeasures for coronavirus disease (COVID-19), we determined the air exchange rates in stationary and moving train cars under various conditions in July, August, and December 2020 in Japan. When the doors were closed, the air exchange rates in both stationary and moving trains increased with increasing area of window-opening (0.23-0.78/h at 0 m2, windows closed to 2.1-10/h at 2.86 m2, fully open). The air exchange rates were one order of magnitude higher when doors were open than when closed. With doors closed, the air exchange rates were higher when the centralized air conditioning (AC) and crossflow fan systems (fan) were on than when off. The air exchange rates in moving trains increased as train speed increased, from 10/h at 20 km/h to 42/h at 57 km/h. Air exchange rates did not differ significantly between empty cars and those filled with 230 mannequins representing commuters. The air exchange rates were lower during aboveground operation than during underground. Assuming that 30-300 passengers travel in a train car for 7-60 min and that the community infection rate is 0.0050-0.30%, we estimated that commuters' infection risk on trains was reduced by 91-94% when all 12 windows were opened (to a height of 10 cm) and the AC/fan was on compared with that when windows were closed and the AC/fan was off.


Subject(s)
Air Microbiology , Air Pollution, Indoor , COVID-19 , Railroads , Ventilation , Air Conditioning , COVID-19/transmission , Humans , SARS-CoV-2
15.
Nat Commun ; 12(1): 3692, 2021 06 17.
Article in English | MEDLINE | ID: covidwho-1275923

ABSTRACT

The COVID-19 pandemic has yielded disproportionate impacts on communities of color in New York City (NYC). Researchers have noted that social disadvantage may result in limited capacity to socially distance, and consequent disparities. We investigate the association between neighborhood social disadvantage and the ability to socially distance, infections, and mortality in Spring 2020. We combine Census Bureau and NYC open data with SARS-CoV-2 testing data using supervised dimensionality-reduction with Bayesian Weighted Quantile Sums regression. The result is a ZIP code-level index with weighted social factors associated with infection risk. We find a positive association between neighborhood social disadvantage and infections, adjusting for the number of tests administered. Neighborhood disadvantage is also associated with a proxy of the capacity to socially isolate, NYC subway usage data. Finally, our index is associated with COVID-19-related mortality.


Subject(s)
COVID-19/epidemiology , Railroads/statistics & numerical data , Residence Characteristics , Black or African American/statistics & numerical data , Bayes Theorem , COVID-19/mortality , Cross-Sectional Studies , Health Status Disparities , Humans , New York City/epidemiology , Physical Distancing , Population Density , Socioeconomic Factors
16.
Travel Med Infect Dis ; 42: 102097, 2021.
Article in English | MEDLINE | ID: covidwho-1253688

ABSTRACT

BACKGROUND: Public transportation is a major facilitator of the spread of infectious diseases and has been a focus of policy interventions aiming to suppress the current COVID-19 epidemic. METHODS: We use a random-effects panel data model and a Difference-in-Differences in Reverse (DDR) model to examine how air and rail transport links with Wuhan as well as the suspension of these transport links influenced the development of the epidemic in China. RESULTS: We find high-speed rail (HSR) and air connectivity with Wuhan resulted in 25.4% and 21.2% increases in the average number of daily new confirmed cases, respectively, while their suspension led to 18.6% and 13.3% decreases in that number. We also find that the suspension effect was dynamic, growing stronger over time and peaking 20-23 days after the Wuhan lockdown, then gradually wearing off. It took approximately four weeks for this effect to fully materialize, roughly twice the maximum incubation period, and similar dynamic patterns were seen in both HSR and air models. Overall, HSR had a greater impact on COVID-19 development than air transport. CONCLUSIONS: Our research provides important evidence for implementing transportation-related policies in controlling future infectious diseases.


Subject(s)
Air Travel/statistics & numerical data , COVID-19/epidemiology , COVID-19/transmission , Railroads/statistics & numerical data , COVID-19/prevention & control , China/epidemiology , Communicable Disease Control , Humans , SARS-CoV-2
17.
PLoS One ; 16(1): e0246077, 2021.
Article in English | MEDLINE | ID: covidwho-1048820

ABSTRACT

The core functionality of many socio-technical systems, such as supply chains, (inter)national trade and human mobility, concern transport over large geographically-spread complex networks. The dynamical intertwining of many heterogeneous operational elements, agents and locations are oft-cited generic factors to make these systems prone to large-scale disruptions: initially localised perturbations amplify and spread over the network, leading to a complete standstill of transport. Our level of understanding of such phenomena, let alone the ability to anticipate or predict their evolution in time, remains rudimentary. We approach the problem with a prime example: railways. Analysing spreading of train delays on the network by building a physical model, supported by data, reveals that the emergence of large-scale disruptions rests on the dynamic interdependencies among multiple 'layers' of operational elements (resources and services). The interdependencies provide pathways for the so-called delay cascading mechanism, which gets activated when, constrained by local unavailability of on-time resources, already-delayed ones are used to operate new services. Cascading locally amplifies delays, which in turn get transported over the network to give rise to new constraints elsewhere. This mechanism is a rich addition to some well-understood ones in, e.g., epidemiological spreading, or the spreading of rumours and opinions over (contact) networks, and stimulates rethinking spreading dynamics on complex networks. Having these concepts built into the model provides it with the ability to predict the evolution of large-scale disruptions in the railways up to 30-60 minutes up front. For transport systems, our work suggests that possible alleviation of constraints as well as a modular operational approach would arrest cascading, and therefore be effective measures against large-scale disruptions.


Subject(s)
Models, Theoretical , Railroads , Humans
18.
Am J Prev Med ; 60(5): 614-620, 2021 05.
Article in English | MEDLINE | ID: covidwho-1046626

ABSTRACT

INTRODUCTION: This study aims to determine whether subway ridership and built environmental factors, such as population density and points of interests, are linked to the per capita COVID-19 infection rate in New York City ZIP codes, after controlling for racial and socioeconomic characteristics. METHODS: Spatial lag models were employed to model the cumulative COVID-19 per capita infection rate in New York City ZIP codes (N=177) as of April 1 and May 25, 2020, accounting for the spatial relationships among observations. Both direct and total effects (through spatial relationships) were reported. RESULTS: This study distinguished between density and crowding. Crowding (and not density) was associated with the higher infection rate on April 1. Average household size was another significant crowding-related variable in both models. There was no evidence that subway ridership was related to the COVID-19 infection rate. Racial and socioeconomic compositions were among the most significant predictors of spatial variation in COVID-19 per capita infection rates in New York City, even more so than variables such as point-of-interest rates, density, and nursing home bed rates. CONCLUSIONS: Point-of-interest destinations not only could facilitate the spread of virus to other parts of the city (through indirect effects) but also were significantly associated with the higher infection rate in their immediate neighborhoods during the early stages of the pandemic. Policymakers should pay particularly close attention to neighborhoods with a high proportion of crowded households and these destinations during the early stages of pandemics.


Subject(s)
COVID-19/epidemiology , Population Density , Railroads , COVID-19/transmission , Crowding , Humans , New York City/epidemiology
20.
Am J Epidemiol ; 190(7): 1234-1242, 2021 07 01.
Article in English | MEDLINE | ID: covidwho-998269

ABSTRACT

Using data from New York City from January 2020 to April 2020, we found an estimated 28-day lag between the onset of reduced subway use and the end of the exponential growth period of severe acute respiratory syndrome coronavirus 2 within New York City boroughs. We also conducted a cross-sectional analysis of the associations between human mobility (i.e., subway ridership) on the week of April 11, 2020, sociodemographic factors, and coronavirus disease 2019 (COVID-19) incidence as of April 26, 2020. Areas with lower median income, a greater percentage of individuals who identify as non-White and/or Hispanic/Latino, a greater percentage of essential workers, and a greater percentage of health-care essential workers had more mobility during the pandemic. When adjusted for the percentage of essential workers, these associations did not remain, suggesting essential work drives human movement in these areas. Increased mobility and all sociodemographic variables (except percentage of people older than 75 years old and percentage of health-care essential workers) were associated with a higher rate of COVID-19 cases per 100,000 people, when adjusted for testing effort. Our study demonstrates that the most socially disadvantaged not only are at an increased risk for COVID-19 infection, they lack the privilege to fully engage in social distancing interventions.


Subject(s)
COVID-19/epidemiology , Railroads/statistics & numerical data , Social Determinants of Health , Cross-Sectional Studies , Female , Humans , Male , New York City/epidemiology , Pandemics , SARS-CoV-2 , Socioeconomic Factors
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